Anesthetic management of a pediatric patient on a ketogenic diet.

Journal of Anesthesia
Junko IchikawaMakoto Ozaki

Abstract

There are several specific considerations regarding seizure control during the perioperative period in patients who have been placed on a ketogenic diet (KD). A KD is high in fat and low in protein and carbohydrates and has a long history of use for the treatment of intractable seizures in children. Maintaining therapeutic ketosis and modifying the acid-base balance are particularly important for preventing seizures in patients on a KD. We report changes in the biochemical parameters of a patient with double cortex syndrome who was on a KD and who had been scheduled for the treatment of dental caries under sevoflurane anesthesia and acetate Ringer administration. Inhalation induction with a high concentration of sevoflurane should be reconsidered in view of recent reports describing the epileptogenic potential of sevoflurane.

References

Oct 1, 1974·The Journal of Clinical Investigation·A J GarberO E Owen
May 1, 1997·European Journal of Anaesthesiology. Supplement·A Borgeat
Jul 22, 1998·Epilepsia·K Ballaban-GilS Shinnar
Jan 13, 2000·Paediatric Anaesthesia·J K McNeely
May 25, 2002·Epilepsia·Ignacio ValenciaElizabeth A Thiele
Feb 1, 2005·Epilepsia·Eric H Kossoff, Jane R McGrogan
Mar 25, 2005·Paediatric Anaesthesia·Isabelle ConstantIsabelle Murat

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Citations

Oct 3, 2012·Acta Anaesthesiologica Taiwanica : Official Journal of the Taiwan Society of Anesthesiologists·Yi-Chia WangShou-Zen Fan
Aug 21, 2012·Anesthesiology Clinics·Jeffrey L KohTerrence McGraw
May 1, 2012·AORN Journal·Rachael Kubiski
Nov 8, 2013·The Neurohospitalist·John ProbascoMichael Levy
Nov 15, 2013·Korean journal of anesthesiology·Mi-Na Park, Ji-Yeon Kim
Jun 30, 2018·Basic & Clinical Pharmacology & Toxicology·Kasper F HøyerNiels Jessen
Jul 11, 2009·International Anesthesiology Clinics·Wendy H P Ren
Aug 10, 2020·Anesthesia and Analgesia·Zacherie R ConoverDebnath Chatterjee
Nov 23, 2016·Journal of Clinical Anesthesia·Elif SoysalCarter Wray

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